PROJECT 10073 RECORD 1. DATE TIME GlltOUP 2. LOCATION 4 July 65 04/06SOZ Columbus, Ohio . . 10. CONCLUSION INSUFFICIEifi' DATA FOR LVALt!AT.ION 4. NUMBER OF OIJ!CTS Not Reoorted Evaluation will be made if fox'lll is returned at a future date s. LENGTH OF OISIIIYATION 11. llltiiJIIIIMMARY AND ANALYIII Not Reported 6. TYPE OF OBS!AYATION Report eceived that witness had made an observation of an Unidentified Flying OJ-ject. Nane, Address, ani Phone number pi ! ~tness only infonnation received. Fo11n 164 sent on 12 July 1 Not Reported 7. COURSE Not Reported 9. PHYSICAL EYID!MCI - . .. ' dt received or returned from wl tne ss. I .. o o I I I DEPARTMENT OF' THE AIR FORCE WASHINGTON At. tached is Fl'D Form 164 which is \.JS~d for reporting ohservations or unidentified flyin~ objects to the Atr Force. In order ~or the Air Force to evaluate these reports, tnis form should be completed 1 as fully as possibl~ and returned to this orr e. Sir.cerely, Couuuun! ty Relations Division Office of Information FTD Fom 164 tJ~I:Jt 4TII',_y I 96 r . U.S. AIR FORCE TECHNICAL IHFORMATIO,_. This questionnaire has been prepared so that you con give the U.S. Air Force as much information as possible concerning the unidentified aedol pheno~nenon that you hr~vu oLserv~ti. Please try to answer as many questions as you possibly can. The information that you g~ve wi~! be ued fet research purposes. Your nome will not ba used in connection with any st~ten .. n . conclusions, or publications without your permission. We request this personal inform:.tion sc that if it Is deemed neceasary we may contact you for further details. 1. When did you aae the object? (Circle One): A.M. J or P .. M. 3. T ima Zone: (Circle One):, a, East.,rn.J b. Control c. Mountain d. Pacific: ) b. Sto.,darcJ -~1 4. Whete wera you when you saw the object? City or Ton 5. How lon9 wat cbjtt~t in sight? ( 1' a t ,, I Durot'on) &J. Certain b. Fairly certain c:. Not very sure d. Just a guess 5.1 How wos time In sight dehtrmin~uf? -------------------- 5.2 Wa~ obiact in sight continJously? 6. What wa'l tbe condition of the sJcy? 7. IF you SO"tl' th<!t .,bject during DAYLIGHT wh.,re was th~ SUN locot"'d os you lockt-d ~t )h"tt obio~t? FTO OCT 62 1!4 Thla fa.m eupet .. d .. P''l'"O l iU. jut 6 t, whlch h obaolte. 8. IF you sow the object at NIGHT, what did you notice concemlng the STARS and MOON? 8.1' STARS (Circle One): 8.2 MOON (Circle One): Brl~t moonlight A few b. Dull moonlight c. No moonlight -pitch darlc Don't rememb.r cl. Don't remember 9. What were the weather conditione at the tlf!t ycu saw the obJect? CLOUDS (Circle One): . WEATHER (Cirri One): a. Clear alcy a. Dry b. Fog, mist, or light rain Scattered clouds c. Moderate or heavy rain Thiele Of' heavy clouds d. Snow Don't remember The obiect oppeared: (Circle OM): o. Solid d. As a light b. Transparent o. Don't remember 11 . If It appeared 01 a light, ~a it btighter than the br1ghteat atars? (Circl On.}: a. Bright,., c. About th same d. Don't lcnow 11.1 Compare brtghtn.sa to aome common obfect: Q j.j :+-e ooi"'c: Appear to stand atilt at ony tittse? Yea No Don't 1cnow Suddenly speed up and rush away at any tim? Yes Don't lcnow c. Break vp into parts or explode? Yes Give off smoke? Y~s Don't !cnow Change btisjltness? Yes Dt:~n't lcnow Ch:mae "'hol>'t? h. :I; ;-:lp~M<-ir \lnd r '<Jpp.!ar? Uoo ~ ~:low 14. Old the object disappear whi lo you were 'dOtch ing it? tf ~o, how? 15. Old the obiact move behind something at any time, particvlorly a cloud'/ (Circle One J: No Don't Know. IF you answered YES, then tll whot 16. Old th obieet move In front of tRmething at any time, particularly a cloud? (Circle One): Pon't Know. IF you answered YES, th~ t~U wh<.st 17 . Tell in a few worda the following thing about th~ obiec:t: 18. We wish to know the ongvlar size. Hold a match aticlc at arm~ length in line with a lcnown ubiKt oftd n'l1{, ~c,N much of the obiect is covered by the head of the ~ttatch. If you hod performed this OXJ:Ieriment at the tiroo of ~t:e sighting, how muc:h of the object would have been covered by the match head? Draw a picture that will ahow the ahope of the obfect or otliecta. Lobel and include in your aketch any detca;l~ of the object that you saw s\lch as wings, protrutions, etc., and eapecially exhouat trail t or vapor trail a. Place on arrow beside the drawing to show the direction the obiect was moving. 20. Do you thinlc you can estimate the apeerJ of the object? (Circle One) IF you answered YES, then what speed would you estimate? ------~- 21. Do you think you can estimate how far away from you the obiect was? (Circle One) IF you answered YES, then how far away would you soy it was?---------. 2~. Jn order thot y;:,u can give as cl~or a picture a.s pos sibi~ of what you ~aw, dtt.-'cdbe in your own .~rds o : ommon obiect or obiects which, when placed up In the alcy, would give the same appearance 01 the obiect which ) ' OU sow. In th followln1 alcetch, lmotlne that you or et th potnt thown. Place on "J.!' on tJ..e r;urv~ len to how ho high the ollect altwe the horizon (lcyllne) when yeA~ llr$t 1ow lt. Ploc:e" a un th ~m c:uhd line'~ 1ho~ how high the obict was abo-lethe horizon (lcyllne) whe" ynu last ,uw it. Place on 'A' I on the compost when you ll"t 1aw It, Ploc:e o "B" on the comp011 where you lat taw the o~ict, 28. .Draw a picture that will 1how the motion that the. obiect or objects modo. Place an .. A"' at the begiMI;.1g ot the path, a "8" ot the end of the path, and ahow any changes in direction during the C:o:)Ur:\e, 29. IF there was MORE THAN ONE oblect, then how many were there? - plctur of how they were orranged, ond put an arrow to show the direction that they were traveling. INITIALS Cll'lCULATI HQ USAF SAFOICC (MRS HUNT) DATE COORDINATION VERSA Trott Request office send an F"l'D Form 164 to Columbus, Ohio, re ng s un.~ obJect observation on FTD ('!'DEW/UFO) Rr:plnet>S DO Form 94, 1 Feb W, and DO Form efl-l&-78370- 1 9:1, 1 Feb 60, w bleb wlll be used until exbawated. U. Date you tlonnalre: 35. which you feel pertiMnt and which Ia not adequately c:cwereclln the apeclflc points of the Ire 011 a explanation of your sighting. . ,